Facility Evaluation Report

A Required One (1) year visit was conducted today by Licensing Program Analyst (LPA) Gary Tan. LPA met with Administrator Jonah Rey Osio. This is a North Los Angeles Regional Center vendored facility level 3.

A tour of the physical plant was conducted at 12:33 PM and the following was noted:

The only entrance being utilized is the main front door, there is a sign at the main door that everyone entering at the facility must be screened. Screening area is located immediately upon entrance. Sign in sheet, hand sanitizer, gloves and masks are available. The facility had submitted and approved Mitigation and Infection plan. The facility has a designated visitors' area at the backyard. The facility has sufficient stock of PPE in the storage room.

Facility has four (4) bedrooms and three (3) bathrooms. Two (2) bedrooms and (2) bathrooms are designated for staff use. There is no body of water in the facility. This facility is fire cleared for four (4) ambulatory residents.

Bedrooms were toured and observed to be clean and properly furnished. Linen storage was also checked and observed to have ample supply of clean linen and towels.

Bathrooms were observed to be clean and sanitary with necessary supplies. Hot water temperature measured at 108.5°F and within the required range.